HomeMy WebLinkAbout12-30-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF IND~Id~GrES~r!+at ~1,. ~..i~` NOTICE OF INHERITANCE TAX
PO BOXT280601AX 0I1tw ` ~~' v{_ ',' ~' '`^r APPRAISEMENT,,AANDNASSESSMENTSOFLTA~ON
OF DEDUCTIONS
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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GLERK QF
ORPHA.N'~~ COURT
SUSANCU~'~`~~_l~~~APPA,
812 W KELLER 5T
MECHANICSBURG PA 17055-4028
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REV-1548 EX AFP (Ol-D9)
DATE 11-30-2009
ESTATE OF SWARTZ RUTH M
DATE OF DEATH 11-30-2008
FILE NUMBER 21 09-0043
COUNTY CUMBERLAND
SSNiDC 222-05-550
ACN 08163187
APPEAL DATE: 01-29-2010
(See reverse side under Ob, jections)
Amount Remitted
MAKE CHECK PAYABLE ANA R IT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT, 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BRETZMAN SUSAN
29 CANDLELIGHT LN
REHOBOTH BEACH, DE 19971
fold
ESTATE INFORMATION: ssN: 222-05-5503
FILE NUMBER: 2109-0043
DECEDENT NAME: SWARTZ RUTH M
DATE OF PAYMENT: 12/30/2009
POSTMARK DATE: 12/28/2009
couNTY: CUMBERLAND
DATE OF DEATH: 1 1 / 30/ 2008
REV-1162 EX(11-96)
NO. CD 012165
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08163187 ~ $88.44
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 1061
SEAL
INITIALS: DM
588.44
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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